Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Kyle P Shaffer, DPT

Individual provider Physical Therapist · NPI 1720336894

Kyle P Shaffer, DPT is registered under Physical Therapist in Private Practice in Marion, Indiana. Qualified in 2012, 14 years ago. Practices with Ivyrehab Physical Therapy, Occupational Therapy and Speech Language PA, a 385-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
14
Licensed in
IN
In the registry since
2012
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

4725 S Colonial Oaks Dr
Marion, IN 46953-5341
Phone: (765) 674-9791
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 05010977A (IN)
Physical Therapist Taxonomy 225100000X · Licence 99053331A (IN)

Record details

NPI number1720336894
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedAugust 21, 2012
Last updated in NPPESMay 4, 2023
Certification dateMay 4, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Ivyrehab Physical Therapy, Occupational Therapy And Speech Language Pa — 385 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients95
Services billed 5,964 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Ivyrehab Physical Therapy, Occupational Therapy and Speech Language PA

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 385 clinicians in the practice; 12 are shown here.

Other providers in Marion